STATE OF ____________________
COUNTY OF ____________________
I, ______________________, the testator, sign my name to this instrument this __________ day of _______, _____, and being first sworn, declare to the undersigned authority that I sign and execute this instrument as my electronic will and that I sign it willingly or willingly direct another to sign for me, that I execute it as my free and voluntary act for the purposes therein expressed, and that I am 18 years of age or older, of sound mind, and under no constraint or undue influence.
______________________________
Testator
We, __________________, _________________, the witnesses, sign our names to this instrument, and being first sworn, declare to the undersigned authority that the testator signs and executes this instrument as the testator's electronic will and that the testator signs it willingly or willingly directs another to sign for the testator, and that each of us, in the presence and hearing of the testator, signs this electronic will as witness to the testator's signing, and that to the best of our knowledge the testator is 18 years of age or older, of sound mind, and under no constraint or undue influence.
______________________________
Witness
______________________________
Witness
Subscribed, sworn to, and acknowledged before me by __________, the testator, and subscribed and sworn to before me by ___________ and __________, witnesses, this ________ day of ________________.
(SEAL) (Signed)______________________________
______________________________
(Official capacity of officer)
N.D.C.C. § 30.1-37-06